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Home My WebLink AboutJ & M Termite Control, Inc. 10.02.2023P5260028002 0 " M M Q ' N N DATE (MMIDDMW) (;`E h TIFI TE OIF' LIABILITY INSURANCE 10/02 2023 THIS CERTIFICATE IS ISSUED AS, AMATTER OF INFORMATION ONL AND CONFERS N RIGHTS UPON THECERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR. NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE. DOES, NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING -INSURER( ), AUTHORIZED REPRESENTATIVE PRODUCER, AND THE CERTIFICATE HOLDER. r IMPORTANT. If the. cortif irate holder is an AIDDITI 'provisions NAL INSURED, tho poflcy(le n�uSt .have ADDITIONAL INSURED provisions or be endorsed. If SUBRO ATION IS WAIVED, subject to the terms �.nd conditions of the policy, certain policies may require an endorsement. A statement on this cor ifMcate does li' of confer rights to the certificate holder In lieuof such endorsement(!). iRc4Uc LIC oB2 1-877 Ed ewr od Partners Insurance Center (HPLC) �Sacramento 'Branch - Branch ID 155593 DIV# 4-07c . _. _.. ... .. .. .. PO . BOX 2110 , CONTACT�-oW*oo0 NAME: Je-ma PHONE FAx , 916 587- 352 A/c No : ARIIL E.MA RESS 4 calASr��.A.�FM9�4.�J�4,"^5+p�0..4+�0.7r'Ad'kew+Fn som ' n4+� N.c INSURER(S) AFFORCDING.COVERAGE NAIL # LIMITS IrRA p NOVA CAS CO 42552 Rancho .Cordova, CA 95670INSUI INSURED INSURER 0: Char Spring Property and. Casualty Coo 15563 i x "termite Control # Inc. INSURER INSURER D.. x.59 North whisman Road INSURER E:. INSURER F Quatain 'V� ewr CA- 9404 . VE GES CERTIFICATE NUMBER. 69530.546 REVISION UMSER. . . THIS IS TO CERTIFY THAT THE POLICIES QF INSURANCE LISTED BELOW HAVE SEEN ISSUED T(3 THE .INSUREID NAMEDABOVE FOR THE POLICYPERIODJNDICATED. NOTWITHSTANDING ANY. REQUIREMENT TERM OR CONDITION OF ANY CON`I"RAC`i OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE .MAY BE ISSUED OR, MAY 'PERTAIN, THE INSURANCE AFFORDED. BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIM..S. LIMITS SHOWN NAY HAVE BEEN REDUCED.,BY PAID CLAIMS. INSR LTR Tl9E.�F INSURANCE ADDL SUBRPt POLICYNUMBER LILY EFI= MM/ DNYYY PO LI01(: iP MMi�bY LIMITS A ,, COMMERCIAL 0ENIERALLoIABILITY POCHL100000480703/ / 8 23 .. �3 08/24 % 1 QQ0 000 . EACH OCCURRENCE. r r CLAIMS. MADEEK OCC UR O 1=: E DAMAGE TNTEpPREMISES Ea occurrence) $ 1Ao, 000 MEIN EXP (Any one person) $ p �q4Q Pesticide/ 'rbic rale - PERSONAL &ACDV INJURY. $ Ii 000 0OO GENERAL AGGREGATE $ 2, QOa, 00o CENI AGGREGATE LIMIT APPLIES PER POLICY JECT LOC PRODUCTS - COMP/OP AGG 2#000400 OTHER: AUTOMOBILE LIABILITY POCKL1.000004507 O �Q13/23 03108/24 COMBINED SINGLE LIMIT $1, 0004 000 Ea accident BODILY INJURY. (Per person) $ x ANYAUTO OWNEC? SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident x HIRED x : NON -OWNED . AUTOS ONLY AUTOS ONLY $ : UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCIwSS LIAS CLAIMS -MADE iED RI=TENTION $ V9CtR60tSCCDII�EIV.SATM1� AND EMPLOYERS LIABILITY Y/N ANYPROPRMETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) /A CQf1032Q0,Ooo1/3,A/0./24 STATUTERH" E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ I000#000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE _ POLICY LIMIT $ 1t 000, 000 DESCRIPTION of OPERATIONS ],LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If,more space Is required) Ike» Work -performed by Named Insured as ppr written contract. Additional insuredt Town of Los Altos Hills» CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town 4f Las Altos Hills THE EXPIRATION DATE THEREC3F, NOTICE WILL BE DELIVERED IN Bu lding . inspection Dept ACCORDANCE WITH TIHE:POLICY PROVISIONS. 26379.W Fremont Rd AUTHORIZED REPRESENTATIVE Los Altos Hills # , CA 94022 USA 0"1988.2.016 ACORD CORPORATION. All rights reserved,, A ORDM 2 (2016/03) The ACORD name and logo. are registered marks of ACORN Jackerman 69830546 00 M' rj WORKERSNI TI EMPLOYERS LIABILITY INSURANCE POLICY WC 04,03 06.. . . , : 4) . W IVER OFIOUR. RIGHT TO.- RECOVER OTHERS, A ENDORSEMENT CALIFOR We have the r� htto recover our ments fM l the .li bl� for n 11 cover d � this otic r 1n1 �r�ll not enforceFp y,y our `r�i ht �Nn t. the rsor� �r �r hlz tion' :named. 1 ' the Sch� ui .: (This.applies l to the extent that you perform Work .under written, contract that ro u�r s you to obtain thI r a nt frcr .) You 'lust: rn lnt in pyrb.11 records ccutately are tn .the' remuneration of Your MoY en.in .whsle h work described Mn. the Schedule. The Idd6tirl l prerniurn for this endorsement shall- . ° a f the c�llforniworkers. �i"I � n r rn� .. c panst l ur�l otherwise due on Such rernuneration� HEDUL PERSON OR-ORGANIZAT-I , : DESCRN TIIN . Any l� rson r r andz ti re .fob uhi6h the in ured has agree d by written contract e��uted prior to loss tc� furnish this waiver. / Darling 'ar it' rpr D A,r J Termite ...Control,. Inc. "his endorsement changes the policy to which It is attached and is effective on the date. Issued unless. otherwise stated. - r (the. information below l r u�lr d only when this end+�r nt � Issue ubs� u nt t� repar t� n of the policy.) Endorsement. ffect.ivo ,10/1,,/".2023 129101 Alf Policy No. .w - 000320-04 Endorsement No. p N Insured Oadlri la Nl r'por tM i :Premium:: Include Insurance Coat an Clear ran Property and Casualty ompaCountersigned by, 1 the'orkera' omensation Insurance Rating bureau of "California, All. rights resew r From the WCIR.Blsfern! or r 'p n tion 1n.surance Formft'M anu l 1999.